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<br />PC 1 Summary Statement of Contributions and Expenditures <br /> <br />please type or print legibly in black ink <br />.J- name of committee use full name <br />rf(./eJJd5 ~ 1!1'~ d~ <br />This filing is an: . Orig nal 0 Amendment <br />tJ Primary 20~ 0 General 20_ 0 other: <br /> <br />01 st pre-election " 2nd pre-election 0 Post-election <br /> <br />page 2 of 2 <br /> <br />rev 1/06 <br /> <br />committee id number <br /> <br />o 20_Sept. Suppl. <br /> <br /> <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />beginning outstanding loans line 29 of previous report <br /> <br />~ <br />tS) <br />ex <br />~, <br />& <br />'& <br />& <br />19 <br />~ <br /> <br />loans received (non-exempt) line2 <br /> <br />+ <br /> <br />loans received (exempt) line 14 <br /> <br />+ <br /> <br />loans received subtotal lines 21+22+23 <br /> <br />loan payments (non-exempt) line 7 <br /> <br />loan payments (exempt) line 18 <br /> <br />+ <br /> <br />forgiven loans total loans forgiven during this acctg. period <br /> <br />+ <br /> <br />loan payment subtotal lines 25+26+27 <br /> <br />total outstanding loans line 24 minus line 28 <br /> <br /> <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />beginning outstanding personal expenditures <br />line 36 of previous report <br /> <br />+ <br /> <br />C5< <br />~ <br />./ <br /> <br />personal expenditures accounting period total from PC 3A <br /> <br />+ <br /> <br />personal expenditure subtotal lines 30+31 <br /> <br />personal expenditure reimbursements <br />total expenditures on PC 3 with purpose code R <br /> <br />~ <br />~ <br />~ <br /> <br />forgiven personal expenditures total forgiven this acctg. period <br /> <br />+ <br /> <br />reimbursement subtotal lines 33+34 <br /> <br />outstanding personal expenditures <br /> <br />~ <br /> <br /> <br />. ending cash balance line 20 <br />. accounts receivable accounting period total from PC 5 <br /> <br />. subtotal lines 37+38 <br /> <br />. total outstanding loans line 29 <br /> <br />. outstanding personal expenditures line 36 <br /> <br />. accounts payable accounting period total from PC 6 <br /> <br />. subtotal lines 40+41+42 <br /> <br />. balance/deficit line 39 minus line 43; indicate + or - balance <br /> <br />+ <br /> <br />31 ~ 7. if2- <br />.----- <br /> <br />+ <br /> <br />-~z" 7. r-z- <br />------ <br />~ <br />~ <br />3r 7' 7. If Z- <br />-{ ~ 3, 71e 7JZ <br /> <br />+ <br /> <br />I, nameofcand;dateo~ ~ j{'0Il.~ <br />statement and the ched Suppo:,'::;.orts are true and correct. <br /> <br />~/UJ _ <br /> <br />signature of candidate or treasurer <br /> <br />o Report of Initial Assets <br />for office use only <br /> <br />RECEIVE <br />I MAY 1 D <br />-1rr REC~;::R <br />l <br /> <br />I <br />I <br />~ <br /> <br />, hereby certify that the above <br /> <br />:5 -((}'fJb <br /> <br />date signed <br /> <br />PC 1 <br />